ABILENE DIAGNOSTIC CLINIC, PLLC
NPI 1346242567
Specialist in Abilene, TX

Q: What is Privia Medical Group West Texas, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 01, 2005

1665 ANTILLEY RD, # 200, ABILENE, TX 79606(325) 793-5375(325) 793-5384 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2022, Nov 11, 2021, Oct 14, 2019 and 1 more (4 updates tracked since 2019).

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About Abilene Diagnostic Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABILENE DIAGNOSTIC CLINIC, PLLC (NPI 1346242567) is a healthcare organization registered as a specialist in Abilene, Texas and active in the NPI registry since June 2005. The organization lists Andrew Kouba, Ceo/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1346242567

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePRIVIA MEDICAL GROUP WEST TEXAS, PLLC

Location Address1665 ANTILLEY RD, # 200Abilene, TX 79606-5265

Mailing AddressPo Box 5409Abilene, TX 79608-5409 · (325) 437-8655 · Fax (325) 437-8647

Phone(325) 793-5375

Fax(325) 793-5384

Organization SubpartNo

Authorized OfficialAndrew KoubaCeo/authorized Official · (325) 437-8645

Enumeration DateJune 1, 2005

Last NPPES UpdateSeptember 7, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2022

✔ NPI 1346242567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1665 ANTILLEY RD, Abilene, TX 79606

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Other Names 1

Doing Business AsAbilene Diagnostic Clinic, Pllc

Other Identifiers 1

Medicaid1306102-02TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS LEE HEADSTREAM M.D.

Internal Medicine

1665 ANTILLEY RD, SUITE 200
ABILENE, TX 79606

Taylor County (325) 793-5130

ANNA FLAVYA THYNE FNP

Nurse Practitioner (Family)

1665 ANTILLEY RD
ABILENE, TX 79606

Taylor County (325) 437-8631

BROOKE ESTES

Family Medicine

1665 ANTILLEY RD
ABILENE, TX 79606

Taylor County (325) 793-5100

DR. VINCENT LEONARD VAN ACHT MD

Family Medicine

1665 ANTILLEY RD, SUITE 200
ABILENE, TX 79606

Taylor County (325) 793-5237

TERESA KAYE HEADSTREAM F.N.P.

Nurse Practitioner (Family)

1665 ANTILLEY RD, SUITE 200
ABILENE, TX 79606

Taylor County (325) 793-5130

THOMAS WADE COTNEY M.D.

Otolaryngology

1665 ANTILLEY RD, SUITE 180
ABILENE, TX 79606

Taylor County (325) 695-7740

ANN ELIZABETH MANNERS FNP

Nurse Practitioner (Family)

1665 ANTILLEY RD, SUITE 200
ABILENE, TX 79606

Taylor County (325) 793-5140

VERONICA ANN AGUIRRI PA

Physician Assistant

1665 ANTILLEY RD
ABILENE, TX 79606

Taylor County (325) 793-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Privia Medical Group West Texas, PLLC's NPI number?

The NPI number for Privia Medical Group West Texas, PLLC is 1346242567. It was assigned to this organization in the NPPES registry on June 1, 2005. The provider is doing business as Abilene Diagnostic Clinic, PLLC.

Where is Privia Medical Group West Texas, PLLC located?

Privia Medical Group West Texas, PLLC is located at 1665 Antilley Rd # 200, Abilene, TX 79606. The listed phone number is (325) 793-5375.

What is Privia Medical Group West Texas, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Privia Medical Group West Texas, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Privia Medical Group West Texas, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Privia Medical Group West Texas, PLLC was last updated on September 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.